Question

A 65-year-old man undergoes a colonoscopy for investigation of rectal bleeding which reveals a 3cm polypoid lesion in the sigmoid colon. Biopsies confirm adenocarcinoma. Staging CT scan shows no evidence of metastatic disease. What is the most appropriate curative management?

Accepted Answer

Surgical resection (e.g., anterior resection)

Answer

Palliative chemotherapy

Answer

Radiotherapy alone

Answer

Chemoradiotherapy

Answer

Endoscopic mucosal resection (EMR)

Practice question

A 65-year-old man undergoes a colonoscopy for investigation of rectal bleeding which reveals a 3cm polypoid lesion in the sigmoid colon. Biopsies confirm adenocarcinoma. Staging CT scan shows no evidence of metastatic disease. What is the most appropriate curative management?